Do you have 5 years Healthcare experience as a Billing / Claims Analyst

Our client is a prestigious Medical Center located in Central Florida seeking a dynamic, detail oriented individual to serve as their Hospital Billing Claims Analyst.

The Hospital Billing Analyst is responsible for;

Timely, accurate, and compliant charge capture and billing by daily management of key process indicators for revenue which include assuring all encounters are order-based, coded with payer specific requirements, and contain all charge related revenue appropriate for each encounter within 5 days.

This includes tracing the charge back to the point of origin (i.e. system generated charge; flow sheet generated charge; associate generate charge) and developing countermeasure(s) to prevent future occurrences, which includes education at point of work flow failure to reduce denials and missed revenue.

Epic experience would be a plus but not required.

There are a lot of other details that go into this opportunity besides the role and scope of the position that we would love to tell you about.

If this sounds like something that would be of interest to you, Please Call or email today so we can discuss further.

]]>What Makes A Good RCM Leaderhttps://www.nearterm.com/what-makes-a-good-rcm-leader/
Fri, 01 Mar 2019 21:35:18 +0000https://www.nearterm.com/?p=3215Whether the job entails leading the revenue cycle management efforts for a clinic, hospital, or an entire health system, there are many aspects and responsibilities to the role of a RCM leader. Therefore, it is essential that a revenue cycle management leader possess certain individual qualities, have a very specialized skill set, and produce specific […]

Whether the job entails leading the revenue cycle management efforts for a clinic, hospital, or an entire health system, there are many aspects and responsibilities to the role of a RCM leader. Therefore, it is essential that a revenue cycle management leader possess certain individual qualities, have a very specialized skill set, and produce specific results while in the role.

The Expanding Role Of RCM Leaders

According to Becker’s Hospital Review, the role of a “revenue cycle management leader is evolving to encompass far more than billing and collections.” In fact, in order to be successful, someone in a RCM leadership role must take on a “much broader view” of the revenue cycle, including strategy and training other employees and departments. Becker’s further assets that “RCM leaders now have a more tangible impact on the hospital or health system’s financial and market success.”

Because of the expansion of the revenue cycle management role, the levels of these positions are also becoming more senior level in order to attract the best talent. Nowadays, it is quite common for hospitals and health systems to be on the search for RCM executives, like a VP of Revenue Cycle or a Chief Finance Officer.

The Qualities A CRM Leader Should Possess

Because the role of a revenue cycle management leader is so complex and moving toward a more executive level, a person in this position should possess certain personal and professional qualities, including:

A strong desire to succeed

Ambition

Accountability

Innovation

The ability to problem solve quickly

The capability to make important decisions and implement actions under pressure

Extraordinary communication skills

Resourcefulness

The ability to not only manage employees and departments, but the capacity to train and mentor others as well

The Skill Set Of A RCM Leader

In order to be successful in the role, a RCM executive should also possess a certain skill set and be knowledgeable about many different aspects of a health system. According to Becker’s, some of the important skills and knowledge a RCM executive must possess include:

A proactive approach to dealing with insurance (including high deductible plans and managed care contracting) and the ability to anticipate the different problems that may arise with a patient’s coverage

An understanding of the complex patient registration process and the desire to improve it

A keen attention to detail to ensure all coding is accurate and submitted properly

Expertise with different health care billing, technology, IT, and any other systems necessary for the RCM role

Strong financial analysis skills

A deep understanding of financial management

Excellent leadership skills and the desire to train and educate others as well as enforce the new systems and protocols put into place

Strong communication skills and the ability to work and collaborate with other hospital employees and departments.

The Results A RCM Executive Should Produce

At the end of the day, in order to be successful, a revenue cycle management leader must produce specific results for a hospital or health system. These results include, but are not limited to the following:

Our client is seeking a dynamic, highly skilled individual to serve as Chief Financial Officer in their Critical Access Facility. The ideal candidate will have Critical Access Hospitalexperience, strong healthcare experience and CPA. Successful experience in cost reduction initiatives, revenue cycle management, financial reporting, decision support and the budget process. The CFO in this organization must be prepared to interact successfully with the Board, medical staff and all other disciplines. Reduce the days in A/R. Efficiencies in all departments – Revenue Cycle, Controller, HIM, Materials Management, Plant Operations, Nutrition Services.

Qualifications:

Critical Access Hospital experience

CPA preferred

EPIC Computer System experience

Proven track record with financial planning, budgeting and building new facilities

]]>Director Revenue Cycle Compliancehttps://www.nearterm.com/director-revenue-cycle-compliance/
Tue, 26 Feb 2019 23:04:44 +0000https://www.nearterm.com/?p=3207JOB ID : EB-1069295726 Location: California Are you well versed in all things coding, compliance, and revenue cycle? Do you value teamwork? Have you been successful in managing a team? An expert in healthcare billing and collections with excellent managerial and interpersonal skills? Do you enjoy receiving bonuses based on goals? If so, our […]

Are you well versed in all things coding, compliance, and revenue cycle? Do you value teamwork? Have you been successful in managing a team? An expert in healthcare billing and collections with excellent managerial and interpersonal skills? Do you enjoy receiving bonuses based on goals? If so, our client would love an opportunity to talk with you about their Director of Revenue Cycle Compliance opening.

The successful candidate will have physician billing compliance experience within a large health system. This individual must be comfortable conducting presentations and education sessions in front of chairs, executive leadership and physicians. The Director of Revenue Cycle Compliance will oversee a team of managers, auditors, educators and analysts with 9 FTEs. Finally, this person will have an integral role in vendor management to assist with auditing the compliance program.

The scope of responsibility for this challenging role includes developing and directing a documentation, coding, and data quality compliance program. Expect emphasis on training, education and process innovation. The ability to maintain a cooperative and energetic work environment is crucial. Excellent communication skills are key.

Requirements:

Bachelor’s degree from an accredited college or university.

Master’s degree preferred.

Certified Procedural Coding – CPC.

Certified Coding Specialist – CCS preferred.

Revenue cycle experience on the professional side is preferred.

5+ years’ experience working in physician billing compliance in a large, preferably academic institution. Experience with the Compliance Program for Physician Practices from the Office of Inspector General.

]]>Director Materials Managementhttps://www.nearterm.com/director-materials-management/
Thu, 14 Feb 2019 21:34:13 +0000https://www.nearterm.com/?p=3198JOB ID: EB-1325597929 Location: Oklahoma Our client is in need of a Director of Materials Management with experience in a mid-size healthcare facility. Oversee 5 direct reports, 2 OR Managers, 3 buyers, warehouse staff and the sterile processing. In this position you must know how to reduce costs for the hospital. Service oriented and a […]

Our client is in need of a Director of Materials Management with experience in a mid-size healthcare facility. Oversee 5 direct reports, 2 OR Managers, 3 buyers, warehouse staff and the sterile processing.

In this position you must know how to reduce costs for the hospital. Service oriented and a problem solver are key.

Must have a strong track record of managing people, entrepreneurial and creative and must have good processes. Quality assurance is key.

Supervise Clinical Teams:

Patient inquires. Respond to incoming telephone call; instruct patient and family regarding treatment instruction. When indicated direct inquiries and reports to physicians for decision making – then call patients with results and care plans.

Handle consults from referring physicians. Obtain clinical information from referring physicians and communicate to the appropriate “on-call” provider who will care for the patient.

]]>Remote Medical CDI Managerhttps://www.nearterm.com/medical-cdi-managers-20170301/
Thu, 07 Feb 2019 21:49:05 +0000http://www.nearterm.com/?p=2247JOB ID: EB-4243058343 Location: Nationwide Nearterm Corporation is looking for qualified CDI Managers to join our Managed Services team. The role of this position is to provide interim leadership and consulting to our national client base of hospitals and health systems. The ideal candidate would have experience in an acute care hospital setting, as well […]

Nearterm Corporation is looking for qualified CDI Managers to join our Managed Services team. The role of this position is to provide interim leadership and consulting to our national client base of hospitals and health systems. The ideal candidate would have experience in an acute care hospital setting, as well as outreach clinics, and will have a complete understanding of coding and compliance requirements associated with the job. We are looking for dynamic, creative individuals who thrive in problem solving situations, are open to travel, and enjoy the challenge of integrating into new situations and making a difference.

APPLY NOW If you are interested in learning more about this amazing opportunity, …………………

Please send your resume in Word or PDF format to: info@nearterm.com. Copy and Paste the following job title and EB code and place it in the subject line of your email so we can identify the job: CDI Manager (EB-4243058343)

If you have any questions or would like additional information please call (888) 646-1330

]]>Vice President of Revenue Cycle – Physicians Practicehttps://www.nearterm.com/vice-president-of-revenue-cycle/
Thu, 07 Feb 2019 16:27:57 +0000https://www.nearterm.com/?p=3184JOB ID: EB-1811948167 Location: Florida Detail oriented? Do you have what it takes to make a difference in a fast paced clinical environment? Our client has a 35 year track record with happy employees who have been around for at least 20 year. They are looking for an energetic VP of Revenue Cycle with an Orthopaedic […]

Detail oriented? Do you have what it takes to make a difference in a fast paced clinical environment?

Our client has a 35 year track record with happy employees who have been around for at least 20 year. They are looking for an energetic VP of Revenue Cycle with an Orthopaedic / Physicians background who has had exposure to private equity. Someone who thrives on Revenue Cycle Management, who can manage and inspire teams, a critical thinker who is highly motivated. The ideal candidate will have experience in a physicians practice setting and a proven track record that points to leadership and technical competencies. Responsible for gathering timely, accurate data / key metrics from the RCM.

They offer good salary with bonuses, 401K, and moving expenses. They are looking to expand and acquire other practices within the year.

Qualifications:

10+ years’ experience preferably with an orthopaedic/physicians background with exposure to private equity